NPIMap

Organization Active NPI

Wiregrass Life Flight

  • Air Ambulance
  • Dothan, AL
National Provider Identifier
1063888352
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
WIREGRASS LIFE FLIGHT
Practice address
1108 Ross Clark Cir
Dothan, AL 36301
Phone
(801) 619-4900
Fax
(801) 983-6052
NPI assigned
Aug 20, 2015
Last updated
Aug 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Thomas
Title
SVP of Revenue Management
Phone
(877) 288-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

Addresses

Primary practice location

1108 Ross Clark Cir
Dothan, AL 36301

Mailing address

10888 S 300 W
South Jordan, UT 84095-4043
Phone (801) 619-4900

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1063888352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10888 S 300 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954043",
            "telephone_number": "801-619-4900",
            "fax_number": "801-983-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "801-619-4900",
            "fax_number": "801-983-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS LIFE FLIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.